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Study of Duloxetine in the Reduction of Pain in Patient With Systemic Lupus Erythematosus

Primary Purpose

Systemic Lupus Erythematosus

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Cymbalta
Sponsored by
Dr. Jesus Gutierrez Stone
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Systemic Lupus Erythematosus focused on measuring Lupus Pain, Lupus, Pain, Systemic Lupus Erythematosus, Duloxetine, Cymbalta

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. A diagnosis of Systemic Lupus Erythematosus (SLE) according to the American College of Rheumatology (ACR) classification criteria, before visit 1.
  2. Able to swallow all required medication without opening or crushing.
  3. Male or female outpatient 18-65 years old at visit 1.
  4. Painful physical symptoms with a frequency > or equal to 2 times per week.
  5. Painful physical symptoms with a score > or equal to 4 on the BPI- SF average pain question at visits 1 and 2.
  6. Clinical Global Impression of Severity (CGI-S) score 3 or higher at visit 1.
  7. Able to speak, read and provide informed consent.
  8. Judged by the investigator to be reliable and agree to keep all appointments.

Exclusion Criteria:

  1. Subjects who have participated in an investigational drug trial in the 30 days prior to the screening visit.
  2. Pregnancy, nursing. Women of child-bearing potential (not surgically sterilized and between menarche and 1 year postmenopausal) who are not using a medically accepted means of contraception (For example, oral contraceptive, contraceptive patch, implant, Depo-Provera®, Norplant®, reliable barrier method/devices [diaphragms with contraceptive jelly; cervical caps with contraceptive jelly; condoms with contraceptive foam; intrauterine devices]
  3. Positive urine drug screen for any substance of abuse. Note: If the subject has a positive drug screen for a substance at Visit 1, a retest may be performed prior to Visit 2 if, in the judgment of the investigator, there is an acceptable explanation for the positive result. A retest is not required for a positive result for benzodiazepines or hypnotics if the investigator confirms use is within protocol criteria.
  4. Serious medical illness, including any cardiovascular, hepatic, renal respiratory hematologic, endocrinologic or neurologic disease, or significant laboratory abnormality as judged by investigator.
  5. Substance/alcohol abuse or dependency in the last 6 months.
  6. History of serious suicide attempt or subject judged clinically to be at serious suicidal risk in the opinion of the investigator.
  7. Uncontrolled narrow angle glaucoma.
  8. Known hypersensitivity to Duloxetine or any active ingredients.
  9. Treatment with a MAOI within 14 days prior to Visit 2 or have the potential need to use an MAOI during the study or within 5 days of discontinuation of study drug. (See Concomitant Medication List)
  10. Have epilepsy or history of seizure disorder.
  11. Use of any of the prohibited medications including thioridazine (Mellaril), or all the potent CYP1A2 inhibitors, that use of these drugs are excluded.

Sites / Locations

  • Brain Resource Center

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Cymbalta

Arm Description

Cymbalta 60 to 120 mg

Outcomes

Primary Outcome Measures

Changes in the Brief Pan Inventory average pain questionnaire
This is a pilot study designed to explore the efficacy of Duloxetine (Cymbalta) 60 mg to 120 mg once daily (QD) on the reduction of pain in patients with Lupus pain. The primary objective will be measured by comparing changes from baseline and end of study in: 1. The Brief Pain Inventory (BPI-SF) average pain questionnaire.

Secondary Outcome Measures

1. Change in Patient Global Impression of Improvement (PGI-I) score 2. Change in Montgomery Asberg Depression Rating Scale (MADRS) Total Score. 3. Change in Clinician Global of Impression (CGI) score
Change in Patient Global Impression of Improvement (PGI-I) score Change in Montgomery Asberg Depression Rating Scale (MADRS) Total Score. Change in Clinician Global of Impression (CGI) score

Full Information

First Posted
January 3, 2011
Last Updated
February 4, 2013
Sponsor
Dr. Jesus Gutierrez Stone
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1. Study Identification

Unique Protocol Identification Number
NCT01269866
Brief Title
Study of Duloxetine in the Reduction of Pain in Patient With Systemic Lupus Erythematosus
Official Title
Duloxetine (Cymbalta) in the Reduction of Pain Severity in Patient With Systemic Lupus Erythematosus: A Pilot Study
Study Type
Interventional

2. Study Status

Record Verification Date
February 2013
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
May 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Dr. Jesus Gutierrez Stone

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine whether Duloxetine (cymbalta) can reduce pain severity in patient with Systemic Lupus Erythematosus.
Detailed Description
Duloxetine (Cymbalta) is a reuptake inhibitor of both serotonin and norepinephrine. By increasing levels of serotonin and norepinephrine, the descending inhibitory pain pathways may function better. These pathways lessen the perception of pain. Results of double blind, placebo controlled, clinical trials investigating the effectiveness of Duloxetine (Cymbalta) have shown that at doses of 60 mg once a day or 60 mg twice a day, Duloxetine (Cymbalta) demonstrated significantly higher rates of treatment response for pain when compared to placebo. Given the positive findings in other clinical trial studies for Duloxetine (Cymbalta) such as Diabetic Peripheral Neuropathy (Raskin et al., 2005) and Fibromyalgia (e.g. Arnold et al., 2005), the investigators hypothesize that Duloxetine (Cymbalta) may reduce the pain severity, frequency and intensity of exacerbations in patients with SLE.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus
Keywords
Lupus Pain, Lupus, Pain, Systemic Lupus Erythematosus, Duloxetine, Cymbalta

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cymbalta
Arm Type
Other
Arm Description
Cymbalta 60 to 120 mg
Intervention Type
Drug
Intervention Name(s)
Cymbalta
Other Intervention Name(s)
Duloxetine
Intervention Description
Cymbalta 60 to 120 mg PO QD
Primary Outcome Measure Information:
Title
Changes in the Brief Pan Inventory average pain questionnaire
Description
This is a pilot study designed to explore the efficacy of Duloxetine (Cymbalta) 60 mg to 120 mg once daily (QD) on the reduction of pain in patients with Lupus pain. The primary objective will be measured by comparing changes from baseline and end of study in: 1. The Brief Pain Inventory (BPI-SF) average pain questionnaire.
Time Frame
Up to 8 weeks
Secondary Outcome Measure Information:
Title
1. Change in Patient Global Impression of Improvement (PGI-I) score 2. Change in Montgomery Asberg Depression Rating Scale (MADRS) Total Score. 3. Change in Clinician Global of Impression (CGI) score
Description
Change in Patient Global Impression of Improvement (PGI-I) score Change in Montgomery Asberg Depression Rating Scale (MADRS) Total Score. Change in Clinician Global of Impression (CGI) score
Time Frame
Up to 8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: A diagnosis of Systemic Lupus Erythematosus (SLE) according to the American College of Rheumatology (ACR) classification criteria, before visit 1. Able to swallow all required medication without opening or crushing. Male or female outpatient 18-65 years old at visit 1. Painful physical symptoms with a frequency > or equal to 2 times per week. Painful physical symptoms with a score > or equal to 4 on the BPI- SF average pain question at visits 1 and 2. Clinical Global Impression of Severity (CGI-S) score 3 or higher at visit 1. Able to speak, read and provide informed consent. Judged by the investigator to be reliable and agree to keep all appointments. Exclusion Criteria: Subjects who have participated in an investigational drug trial in the 30 days prior to the screening visit. Pregnancy, nursing. Women of child-bearing potential (not surgically sterilized and between menarche and 1 year postmenopausal) who are not using a medically accepted means of contraception (For example, oral contraceptive, contraceptive patch, implant, Depo-Provera®, Norplant®, reliable barrier method/devices [diaphragms with contraceptive jelly; cervical caps with contraceptive jelly; condoms with contraceptive foam; intrauterine devices] Positive urine drug screen for any substance of abuse. Note: If the subject has a positive drug screen for a substance at Visit 1, a retest may be performed prior to Visit 2 if, in the judgment of the investigator, there is an acceptable explanation for the positive result. A retest is not required for a positive result for benzodiazepines or hypnotics if the investigator confirms use is within protocol criteria. Serious medical illness, including any cardiovascular, hepatic, renal respiratory hematologic, endocrinologic or neurologic disease, or significant laboratory abnormality as judged by investigator. Substance/alcohol abuse or dependency in the last 6 months. History of serious suicide attempt or subject judged clinically to be at serious suicidal risk in the opinion of the investigator. Uncontrolled narrow angle glaucoma. Known hypersensitivity to Duloxetine or any active ingredients. Treatment with a MAOI within 14 days prior to Visit 2 or have the potential need to use an MAOI during the study or within 5 days of discontinuation of study drug. (See Concomitant Medication List) Have epilepsy or history of seizure disorder. Use of any of the prohibited medications including thioridazine (Mellaril), or all the potent CYP1A2 inhibitors, that use of these drugs are excluded.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jesus Gutierrez Stone, MD
Organizational Affiliation
Brain Resouce Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Brain Resource Center
City
New york
State/Province
New York
ZIP/Postal Code
10023
Country
United States

12. IPD Sharing Statement

Links:
URL
http://brainresourcecenter.com
Description
Click here for more information about this study

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Study of Duloxetine in the Reduction of Pain in Patient With Systemic Lupus Erythematosus

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